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Clinical Reasoning Corner: Illness Script

The Clinical Problem Solvers

Today we are going to talk about Illness scripts ! Define an illness script 2.- Describe the core components of an illness script 3.- Demonstrate the utility of an illness script in clinical reasoning 4.- Practice applying an illness script as a learning tool What is an Illness script? So let’s dive in!

Illness 52
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You don’t need labs to medically clear a psych patient

PEMBlog

When should the emergency physician obtain lab tests to medically clear such patients? These labs were not truly indicated, but it was common practice and viewed as “not a big deal.” The key differentiating points in who needs lab tests and who does not are: ‘acute-onset psychosis’ and ‘any abnormal findings on history or exam’.

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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

Yet moral injury is not an official diagnosis. (Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. It is unclear to me who first applied the term to doctors.

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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. I loved it.

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What can we learn from simulations? Amber Barnato

GeriPal

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. A health services researcher and palliative care physician, Amber lauds the ability of simulation studies to isolate one variable in a study. Amber: I do. You know what?

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Exploring the Nature of Chronic Pain with Haider Warraich

GeriPal

We discussed the nature of pain, what makes chronic pain different from acute pain, what’s the difference between proprioception, pain, and suffering, and so much more. Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. Welcome back to the GeriPal podcast, Haider. It’s just such a pleasure to be back.